<form action="{FORMACTION}" {TARGET} method="post">
<table class="fullwidth">
	<tr class="tbltitle">
		<th colspan="4" class="std" align="left">
			<img alt="{ALT_FEEDB}" src="{IMG_FEEDB}" border="0" />&nbsp;{TXT_HEADER}
		</th>
	</tr>
	<tr>
		<td class="option">{TXT_TITLE}<span class="asterisk">*</span></td>
		<td colspan="3" class="option_value"><input type="text" size="60" maxlength="200" name="title" value="{VALUE_TITLE}"></td>
	</tr>
	<tr>
		<td class="option">{TXT_TOP_TEXT}<span class="asterisk">*</span></td>
		<td colspan="3" class="option_value"><textarea cols="60" rows="3" wrap="virtual" name="text">{VALUE_TEXT}</textarea></td>
	</tr>
	<tr>
		<td class="option">{TXT_ANONYMOUS}</td>
		<td class="option_value"><input type="radio" name="anonymous" value="1"{ANONYMOUS_YES}> {TXT_YES} <input type="radio" name="anonymous" value="0"{ANONYMOUS_NO}> {TXT_NO} </td>
		<td class="option">{TXT_FROM}</td>
		<td class="option_value">
			{SELECT_ACTIVATION_START_YEAR}
			{SELECT_ACTIVATION_START_MONTH}
			{SELECT_ACTIVATION_START_DAY}
			&nbsp;{TXT_TIME}:&nbsp;
			{SELECT_ACTIVATION_START_HOUR} : {SELECT_ACTIVATION_START_MINUTE}
		</td>
	</tr>
	<tr>
		<td class="option">{TXT_TYPE}</td>
		<td class="option_value">{SELECT_TYPE}</td>
		<td class="option">{TXT_UNTIL}</td>
		<td class="option_value">
			{SELECT_ACTIVATION_END_YEAR}
			{SELECT_ACTIVATION_END_MONTH}
			{SELECT_ACTIVATION_END_DAY}
			&nbsp;{TXT_TIME}:&nbsp;
			{SELECT_ACTIVATION_END_HOUR} : {SELECT_ACTIVATION_END_MINUTE}
		</td>
	</tr>
	<tr>
		<td class="option">{TXT_TEXT_ANSWER}</td>
		<td class="option_value"><input type="radio" name="text_answer" value="1" {TEXT_ANSWER_YES}> {TXT_YES} <input type="radio" name="text_answer" value="0" {TEXT_ANSWER_NO}> {TXT_NO} </td>
		<td class="option">{TXT_REPEAT} {TXT_EVERY}</td>
		<td class="option_value">
			{SELECT_INTERVAL}
			{SELECT_INTERVAL_UNIT}
		</td>
	</tr>
	<tr>
		<td class="option" valign="top">{TXT_VOTES}<span class="asterisk">*</span></td>
		<td class="option_value">
			<!-- BEGIN vote -->{VOTE_NUM}.&nbsp;{TXT_TEXT}&nbsp;&nbsp;<input type="text" name="vote[{VOTE_NUM}]" value="{VALUE_VOTE_TEXT}"><br /><!-- END vote -->
			<div align="right"><input type="hidden" name="extra_votes" value="{VALUE_EXTRA_VOTES}"><input type="submit" class="submit" value="{TXT_NEW_VOTE}" name="cmd[{CMD_ADDVOTE}]"></div>
		</td>
		<td class="option">{TXT_FIRST_VOTE}</td>
		<td class="option_value">
			<input type="radio" name="first_vote_best" value="1" {BEST_CHECKED}>{TXT_BEST}
			<input type="radio" name="first_vote_best" value="0" {WORST_CHECKED}>{TXT_WORST} {TXT_VOTE}
		</td>
	</tr>
	<tr>
		<td class="submit" colspan="4">
		<div align="right">
		<input class="submit" type="submit" name="cmd[{CMD_SUBMIT}]" value="{TXT_SUBMIT}" />
		</div>
		</td>
	</tr>
</table>
</form>